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USMLE Step 1 score reporting will transition from a numeric score and pass/fail outcome to pass/fail only for exams taken on or after January 26, 2022. The USMLE program views this change as an important first step toward facilitating broader, system-wide changes to improve the transition from undergraduate to graduate medical education. The primary purpose of USMLE is for licensure. The USMLE co-sponsors recognize that there are other uses for USMLE, such as residency selection, but an ideal system for evaluating candidates should be holistic. This system should feature various assessments of a candidate’s competencies and unique characteristics. In such a system, USMLE would serve as one objective measure and be weighted appropriately. All scores for Step 1 exams taken prior to the date of the policy change will continue to be reported using the three-digit numeric score on all USMLE transcripts. #USMLE #usmlestep1 and #usmlestep2ck, #uworld and #NBME,